I know thinking is a dangerous occupation for me, but I can't help but think sometimes. I was reading back some of my clinical letters, discharge summaries and other things and one thing kept coming up, bronchial wall thickening and a lot of pain in my chest. There is also evidence of scarring and other inflammation, all connected with my asthma, but I am at the point where I want to know, once and for all, what is causing my asthma attacks and how on earth I am going to try and stop it. I guess the first stage is trying to establish to what extent this is all asthma.
What we know:
We know there is a reduction in lung function. There is a lot of expiratory wheeze and other asthma symptoms, and I do respond well to Bronchiodiolators. I have had some good results on prednisolone but it is not something we want to stay on forever. Variation in peak flow. Frequent exacerbation of asthma, getting more frequent just lately. Poor immunity.
Known Asthma triggers:
Dust mites and dander.
Viral / Bacterial infections
Now thats all the stuff we do know, but what else is there to consider? I think myself it is down to working out what I am being triggered by and how to avoid it. I am not allergic to anything which is good, but I really want to get a methocholine challenge to see just how much of this is my asthma and how much could be something else entirely. Why am I getting so many infections? What is the effect of that?
I think it kind of helped to get this down somewhere so I could read it back or even get some other opinions on it.
2 years ago